DR. KIMBERLY JOY BEITING (NPI# 1932561156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932561156 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY JOY BEITING |
| Credential | MD |
| Practice Address |
5841 S. Maryland Ave Mc 6098 Chicago IL 60637-1443 |
| Mailing Address |
150 Harvester Dr Ste 300 Burr Ridge IL 60527-5965 |
| Practice Telephone | 7737028840 |
| Mailing Telephone | 7737021150 |
| Enumeration Date | 2016-03-26 |
| Last Update Date | 2020-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 036.149791 | IL | Allopathic & Osteopathic Physicians |
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
036149791 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 240 E Huron St, Suite 1-200, Chicago, IL 606112909 | 3125037975 |
| Street Address |
5841 S. MARYLAND AVE MC 6098 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-1443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184658478 | Christopher Manuel Gomez | Psychiatry & Neurology | 5841 S. Maryland Ave, Mc 2030, Chicago, IL 60637-1470 | 2006-07-10 |
| 1598385601 | Matthew Nathan | Pediatrics | 5841 S. Maryland Ave, Mc1052, Chicago, IL 60637 | 2020-04-18 |
| 1073154829 | Ewelina Orozco | Nurse Practitioner | 5841 S. Maryland Ave, Chicago, IL 60637 | 2019-10-02 |
| 1114489192 | Juan Pablo Alban | Internal Medicine | 5841 S. Maryland Ave, Mc 7082, Chicago, IL 60637-1443 | 2019-04-01 |
| 1144781717 | Michael Larsen | Anesthesiology | 5841 S. Maryland Ave, M/c 4028, Chicago, IL 60637-1443 | 2019-03-27 |
| 1144728783 | Jacqueline Lippe | Nurse Practitioner | 5841 S. Maryland Ave, Mc 2115, Chicago, IL 60637-1470 | 2018-01-29 |
| 1780035337 | Miriam Robinovitz | Psychiatry & Neurology | 5841 S. Maryland Ave, M/c 3077, Chicago, IL 60637-1443 | 2016-06-24 |
| 1821444837 | Jovian Yu | Internal Medicine | 5841 S. Maryland Ave, M/c 2115, Chicago, IL 60637-1443 | 2016-05-09 |
| 1316329774 | Lee Michael Stratton | Surgery | 5841 S. Maryland Ave, Rm. G-201, Mc4052, Chicago, IL 60637-1443 | 2015-06-22 |
| 1235516774 | Richard Wlodarski | Internal Medicine | 5841 S. Maryland Ave, Rm. S231 Mc 2030, Chicago, IL 60637-1470 | 2015-05-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
| 1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
| 1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
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| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982225918 | Welcome Health Management Group | Family Medicine | 2325 W Harrison St Apt 2, Chicago, IL 60612-3555 | 2020-04-30 |
| 1508419367 | Well Kept Elder Enterprises, LLC | Family Medicine | 18 S Michigan Ave, Chicago, IL 60603-3200 | 2019-07-22 |
| 1548618549 | Anna Breen Liggett | Family Medicine | 675 N Saint Clair St Ste 18-200, Chicago, IL 60611-5929 | 2016-05-31 |
| 1962878264 | Integrative Healthcare Network | Family Medicine | 7531 S Stony Island Ave, Suite 164, Chicago, IL 60649-3954 | 2015-08-20 |
| 1114362456 | Asap Wellness Center, Sc | Family Medicine | 730 S Dearborn St, Chicago, IL 60605-1838 | 2013-04-30 |
| 1255698809 | Laura Amanda Perry | Family Medicine | 722 W Maxwell St Ste 235, Chicago, IL 60607 | 2012-04-20 |
| 1366708117 | Ria Luz Parcellano | Family Medicine | 1715 E 95th St, Chicago, IL 60617-4708 | 2012-04-05 |
| 1316219546 | Mark Grant | Family Medicine | 225 N Michigan Ave, Bcbsa, Chicago, IL 60601-7757 | 2012-02-03 |
| 1861703928 | Magdalena Bednarczyk | Family Medicine | 1725 W Harrison St, Suite 955, Chicago, IL 60612-3841 | 2010-06-23 |
| 1255519310 | Carol Krohm | Family Medicine | 2611 W Chicago Ave, Chicago, IL 60622 | 2008-01-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.